| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.93 | $123.93 | $147.22 | |
Aetna
| Professional | $147.22 | $190.56 | $190.56 | |
Cigna
| Facility | $197.16 | $197.16 | $197.16 | |
Cigna
| Professional | $141.60 | $141.60 | $826.34 | |
United
| Professional | $90.19 | $138.75 | $228.94 |